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In this episode of Security Weekly News, Doug White discusses various cybersecurity threats, including the Salt Typhoon and Spark Kitty malware, the implications of Microsoft's decision to drop support for old hardware drivers, and the potential increase in cyber threats from Iran. The conversation also covers the alarming 16 billion password leak and the evolving landscape of password security, including the rise of passkeys and the challenges posed by AI in misinformation and social engineering. Visit https://www.securityweekly.com/swn for all the latest episodes! Show Notes: https://securityweekly.com/swn-488
Rev. Doug White - Dance Like Nobodys Watching
Message preached by Rev. Doug White on Sunday, April 6, 2025
Doug White is Area Director for CBMC Chattanooga, a group of local business and professional men whose objective is to share the essentials of the Christian faith and learn to apply them better to home and work. You are a leader in many different arenas: Home, church and work to name a few. In each area God not only wants you to lead, he wants you to grow as a leader. CBMC Leadership Summit is Saturday, March 29th. Registration is FREE, but space is limited. CLICK HERE for more information.Donate to Moody Radio: http://moodyradio.org/donateto/morningshow/wmbwSee omnystudio.com/listener for privacy information.
Doug White is the guest on this week's program.
„Ich muss einen Notfall ausrufen. Mein Pilot ist verstorben.“ Mit diesen Worten wandte sich Doug White nervös an den Kontrollturm, der seinen Flug überwachte. Wenige Minuten nach dem Start war der Pilot des Privatflugzeugs, das Dougs Familie gechartert hatte, plötzlich verstorben. Doug betrat das Cockpit, obwohl er nur drei Monate lang in weitaus einfacheren Flugzeugen Flugtraining gehabt hatte. Anschließend hörte er den Fluglotsen eines örtlichen Flughafens aufmerksam zu, die ihn bei der Landung des Flugzeugs unterstützten. Später sagte Doug: „[Sie] haben meine Familie vor einem fast sicheren Tod in den Flammen bewahrt.“
“I’ve got to declare an emergency. My pilot’s deceased.” Doug White nervously uttered those words to the control tower monitoring his flight. Minutes after takeoff, the pilot of the private plane Doug’s family had chartered suddenly passed away. Doug stepped into the cockpit with just three-month’s training in flying less sophisticated aircraft. He then carefully listened to controllers at a local airport who talked him through landing the plane. Later, Doug said, “[They] saved my family from an almost certain fiery death.” We have one who alone can help us navigate the challenges in life. Moses, speaking to the Israelites, said, “The Lord your God will raise up for you a prophet like me from among you . . . . You must listen to him” (Deuteronomy 18:15). This promise pointed to a succession of prophets God provided for His people, but it also spoke of the Messiah. Both Peter and Stephen would later state that this ultimate prophet was Jesus (Acts 3:22; 7:37). He alone came to tell us the loving and wise instructions of God (Deuteronomy 18:18). During Christ’s life, God the Father said, “This is my Son . . . . Listen to him!” (Mark 9:7). To live wisely and avoid crashing and burning in this life, let’s listen to Jesus as He speaks through the Scriptures and the Holy Spirit. Listening to Him makes all the difference.
Before the year ends, we have a few more incredible guests heading your way! This week, Doug White discusses:Experiences with PTSDPistol in his hand… Decision to makeSleep disturbanceFinding peace when you reach retirementKey Lessons from his storyMeet Our GuestDoug White is a veteran and retired first responder with over 30 years of combined service. He wrote and published Hiding in Plain Sight: The Truth about Trauma, Service, and The Way Forward to fulfill a new mission: starting honest, necessary conversations about the challenges faced by veterans, first responders, and their families. These challenges emerge when a life of selfless service inevitably collides with the complex realities of the human condition.Through his book, Hiding in Plain Sight, and the Tell This Story platform, his mission is to create a space where voices are heard and hope is shared for those still hiding in plain sight. Each week on Tell This Story, he sits down with fellow veterans, first responders, and their loved ones to unpack these struggles through authentic storytelling and work together on finding a way forward.Support the showHave a question for the host or guest? Are you looking to become a show partner? Email Danica at PodcastsByLanci@gmail.com to get connected.CRISIS LINE: DIAL 988This show is brought to you by Coming Alive Podcast Production. Check out their course, book, and services today.
Check out this episode from the SWN vault, originally published on February 21, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Doug is at Vale and Russ is in charge of the show this week! Russ talks about his terms and acronyms. Russ talks about: DHCP, DNS, IP, USB, IEEE, SCADA, IoT, Internet of Things, Philips Hue, Zwave/Zigbee Homekit tech. Show Notes: https://securityweekly.com/vault-swn-22
Check out this episode from the SWN vault, originally published on February 21, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Doug is at Vale and Russ is in charge of the show this week! Russ talks about his terms and acronyms. Russ talks about: DHCP, DNS, IP, USB, IEEE, SCADA, IoT, Internet of Things, Philips Hue, Zwave/Zigbee Homekit tech. Show Notes: https://securityweekly.com/vault-swn-22
Check out this episode from the SWN vault, originally published on February 21, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Doug is at Vale and Russ is in charge of the show this week! Russ talks about his terms and acronyms. Russ talks about: DHCP, DNS, IP, USB, IEEE, SCADA, IoT, Internet of Things, Philips Hue, Zwave/Zigbee Homekit tech. Show Notes: https://securityweekly.com/vault-swn-22
Check out this episode from the SWN Vault, originally published on February 13, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Well, there are a lot of terms that are around in Cyber these days. I think we could do shows every week for a while and never get through them all. From AI to Zero Day Exploits, there are a plethora of terms that everyone uses all the time but maybe you don't know them yet. So, I thought we would grab some of the more common ones and try to explain. Show Notes: https://securityweekly.com/vault-swn-21
Check out this episode from the SWN Vault, originally published on February 13, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Well, there are a lot of terms that are around in Cyber these days. I think we could do shows every week for a while and never get through them all. From AI to Zero Day Exploits, there are a plethora of terms that everyone uses all the time but maybe you don't know them yet. So, I thought we would grab some of the more common ones and try to explain. Show Notes: https://securityweekly.com/vault-swn-21
Check out this episode from the SWN Vault, originally published on February 13, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Well, there are a lot of terms that are around in Cyber these days. I think we could do shows every week for a while and never get through them all. From AI to Zero Day Exploits, there are a plethora of terms that everyone uses all the time but maybe you don't know them yet. So, I thought we would grab some of the more common ones and try to explain. Show Notes: https://securityweekly.com/vault-swn-21
Check out this episode from the SWN Vault, originally published on February 13, 2019! This Secure Digital Life episode was hand-picked by main host Doug White. Well, there are a lot of terms that are around in Cyber these days. I think we could do shows every week for a while and never get through them all. From AI to Zero Day Exploits, there are a plethora of terms that everyone uses all the time but maybe you don't know them yet. So, I thought we would grab some of the more common ones and try to explain. Show Notes: https://securityweekly.com/vault-swn-21
Law Enforcement Life Coach / Sometimes Heroes Need Help Podcast
This week I had the great pleasure of sitting down with retired LEO and Air Force Veteran, Doug White. Doug recently authored, "Hiding In Plain Sight- The Truth About Trauma, Service, and the Way Forward" . We discussed his career and life, the failures, and more importantly the lessons learned. Doug is paying it forward in a meaningful, impactful way. Sit back and give this episode a listen and come away a better version of you for doing so. More About Doug:My journey spans over 30 years of service as a veteran and law enforcement officer—a journey filled with both triumphs and profound challenges. Like so many in these fields, I encountered the heavy toll that trauma can exact on the mind, body, and spirit. My breaking point came one night, alone on a midnight shift, behind a school with my hand on my pistol, considering an irreversible option.But I was saved by grace, by the unwavering love and strength of my wife, and by her faith in God. That moment didn't just pull me back—it set me on a new path. A path not focused on trauma, but on growth, resilience, and transformation.Today, I'm the founder of Tell This Story LLC, an organization dedicated to empowering veterans, first responders, and their families. My mission is to help others grow beyond the struggles we often face in silence. It's not about living in the shadow of our trauma or retelling the same story over and over—it's about the hard work of becoming better, transitioning into a healthy and fulfilling life after service, and embracing the strength that comes from being honest and vulnerable.I wrote 'Hiding in Plain Sight: The Truth About Trauma, Service, and the Way Forward' as a cautionary tale, sharing my personal and professional journey, but more importantly, as a message of hope. I believe in the power of owning our stories—not as victims, but as victors. Through authentic storytelling, I aim to offer a safe space for others to share their experiences, ask for help, and find healing and growth.... SHOW SPONSOR -ON TARGET CLAIMSThis episode is being brought to you by "On Target Claims" - From Setback to Settlement On Target Claims is a team of certified and experienced Public Adjusters in Florida who have helped thousands of insured get the maximum amount for their residential, commercial, wind, water, fire, hurricane, mold, yacht and marine claims.We have the knowledge and experience to properly investigate all potential damages including all of the hidden damages that may not be obvious to the untrained eye. Since insurance companies are notorious for conducting haphazard damage investigations using preferred contractors to determine your loss our claims adjusters will create an accurate inventory of every item that was damaged so that we can prepare a detailed computer generated estimate to substantiate the true value of your loss and get you the settlement you deserve.https://www.ontargetclaims.com561-208-1775954-329-0399Thank you for taking the time to give this podcast a listen. If you would like more information on other Law enforcement Life Coach initiatives, our "Sometimes Heroes Need Help" wellness seminar or our One-On-One life coaching please visit :www.lawenforcementlifecoach.comJohn@lawenforcementlifecoach.comAnd if you would like to watch the interview you can view it in it's entirety on the Law Enforcement Life Coach YouTube Channel : https://studio.youtube.com/channel/UCib6HRqAFO08gAkZQ-B9Ajw/videos/upload?filter=%5B%5D&sort=%7B%22columnType%22%3A%22date%22%2C%22sortOrder%22%3A%22DESCENDING%22%7D
Coverage and impressions from Captial Audiofest 2024. Marc, Brian, Grover, Graig and Marc S. broadcast live from the DC event for audiophiles. Full impressions, observations on trends and best of show awards. What rooms sounded like perfection? What new products really impressed? All the new details all a ton of new products get realeased at this East Coast show and we have them all to share with you in this detailed and robust episode of HiFi wondery. This episode's event sponsor is Doug White and The Voice That Is. Doug was showcasing the North American premiere for new TIDAL for Bugatti MC-1 Digital Controller, TIDAL for Bugatti MP-1 Pre amplifier and Turnbull Audio Prestige Audio Cables.
Talking all things life with former MLB Pitching Coach Dough White. Doug's career has spanned 17 years across 4 organizations leading pitching development and managing infrastructure changes along the way. Doug is the former pitching coach and director of pitching for the Los Angeles Angels. Prior to that he was the assistant pitching coach for the Houston Astros while also spending time as their pitching coordinator. White won 4 championships in his last 6 years as a minor league pitching coach while also being a part of two world series championship organizations. Doug's focus it to guide immersive experiences that allow you to feel soul deep love, align with your inner knowing, and remember who you truly are. This episode will take you guys for a ride so buckle up and enjoy. You guys can learn more and follow Doug's IG Here Get All My Workouts FREE Trial CLICK HERE Built Different Mastermind Community CLICK HERE Want to talk more? Schedule a Call with Me: Click HERE Thanks to our Sponsors: My Creatine & Coffee Code JSF for 10% off CLICK HERE AG1 www.DrinkAG1.com/jeremyscott Free year supply of vitamin D3 with 5 free travel packs or want a FREE sample? Shoot us a DM and ask! Sleeves Sold Separately My Workout Gear - https://sleevessoldseparately.com/collections/jscott Code JSCOTT15 for 15% off all clothes & gear Jaylab Pro Our Protein, Turmeric, Collagen, Krill Oil - https://jeremyscottfitness.jaylabpro.com/products.html Code JSF40 for 40% off Collagen if you wish to try it. Dry Farms Wine - dryfarmwines.com/jeremyscottfitness Each new member will earn an extra bottle for just a penny with their first order of wine when they use this link.
Interview With Schiit Audio Founder Jason Stoddard. Jason joins the show this week to talk about all the new changes with this budget HiFi brand fenom Schiitt Audio. Starting as a headphone amplifier and DAC company, Jason is futher exanding his wallet friendly offerings into the two channel speaker market with the introduction of three new products and a unified remote control system. Epsiode includes some time with Jason discussing the overall direction of the company, his thoughts on growth, learing from past mistakes and more. The Season 11 preimer kicks off a whole slew of new stuff, including our pt.AUDIO site rebrand and new MERCH! The new PTA Record Weight in Copper is now available. A special, limited launch discount code can be found in the episode. pt.AUDIO Record Weight In Copper If you are attending Capital Audiofest this weekend, please swing by the Wilson Room and see our CAF 2024 sponsor, Doug White and The Voice That Is. Doug will showcasing his fine selection of brands including Tidal Audio, Turnbull Cables, Dohmann Audio and more. S11E2 Sponsors: PURISTAUDIODESIGNdotCOM - Let Us Connect You To The Music! FOCALNAIMAMERICAdotCOM – High-End Hi-Fi Excellence FERNANDROBYdotCOM - Expert Craftmanship for Elevated Sound Systems
Hello and Welcome back! Really excited to have Doug White back on the podcast this week. Doug is the Director of Golf at Titirangi Golf Club, and has recently been on a trip to the Monterey Peninsula to attend the MacKenzie Gathering at esteemed Cypress Point Golf Club. Doug broke down courses he visited en route, such as Pasatiempo, and Meadow club. He then talked in great detail about his experience at Cypress Point. Including his favourite holes, thoughts on its architectural brilliance and more. Enjoy
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on August 9, 2017. Doug explains the basics of how IP Addresses work, with help from Doug in an alternate dimension. Beware of the terminator! Show Notes: https://securityweekly.com/vault-swn-20
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on August 9, 2017. Doug explains the basics of how IP Addresses work, with help from Doug in an alternate dimension. Beware of the terminator! Show Notes: https://securityweekly.com/vault-swn-20
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on August 9, 2017. Doug explains the basics of how IP Addresses work, with help from Doug in an alternate dimension. Beware of the terminator! Show Notes: https://securityweekly.com/vault-swn-20
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on August 9, 2017. Doug explains the basics of how IP Addresses work, with help from Doug in an alternate dimension. Beware of the terminator! Show Notes: https://securityweekly.com/vault-swn-20
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on November 8, 2017. What is encryption anyway? Doug and Russel explain symmetric encryption, asymmetric encryption, and how crypto gets broken! Show Notes: https://securityweekly.com/vault-swn-19
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on November 8, 2017. What is encryption anyway? Doug and Russel explain symmetric encryption, asymmetric encryption, and how crypto gets broken! Show Notes: https://securityweekly.com/vault-swn-19
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on November 8, 2017. What is encryption anyway? Doug and Russel explain symmetric encryption, asymmetric encryption, and how crypto gets broken! Show Notes: https://securityweekly.com/vault-swn-19
Check out this episode from the SWN Vault, hand picked by main host Doug White! This SDL episode was initially published on November 8, 2017. What is encryption anyway? Doug and Russel explain symmetric encryption, asymmetric encryption, and how crypto gets broken! Show Notes: https://securityweekly.com/vault-swn-19
Doug White is Area Director with CBMC Chattanooga. Earlier in his career, Doug was a performer with Cirque Du Soleil. But he was also involved in the Closing Ceremony for the 1996 Summer Olympics in Atlanta. As exciting as those opportunities seem, he is most excited at the open opportunities that are before him right now with CBMC; working alongside men, making disciples who make disciples. CLICK HERE for more information.See omnystudio.com/listener for privacy information.
In this episode of Security Weekly News, Dr. Doug White and Josh Marpet delve into the widespread impact of the recent CrowdStrike and Microsoft technical issue, which disrupted various industries, including airlines, DMVs, and hospitals. They discuss the interconnectedness of modern systems, the reliance on automatic updates, and the critical need for thorough testing and third-party risk management. Emphasizing the importance of understanding and planning for system failures, the hosts highlight the necessity for comprehensive inventories, continuous monitoring, and robust backup plans to ensure business continuity and resilience. Tune in for expert insights into mitigating the significant consequences of system failures. Visit https://www.securityweekly.com/swn for all the latest episodes! Show Notes: https://securityweekly.com/swn-399
In this episode of Security Weekly News, Dr. Doug White and Josh Marpet delve into the widespread impact of the recent CrowdStrike and Microsoft technical issue, which disrupted various industries, including airlines, DMVs, and hospitals. They discuss the interconnectedness of modern systems, the reliance on automatic updates, and the critical need for thorough testing and third-party risk management. Emphasizing the importance of understanding and planning for system failures, the hosts highlight the necessity for comprehensive inventories, continuous monitoring, and robust backup plans to ensure business continuity and resilience. Tune in for expert insights into mitigating the significant consequences of system failures. Show Notes: https://securityweekly.com/swn-399
In this episode of Security Weekly News, Dr. Doug White and Josh Marpet delve into the widespread impact of the recent CrowdStrike and Microsoft technical issue, which disrupted various industries, including airlines, DMVs, and hospitals. They discuss the interconnectedness of modern systems, the reliance on automatic updates, and the critical need for thorough testing and third-party risk management. Emphasizing the importance of understanding and planning for system failures, the hosts highlight the necessity for comprehensive inventories, continuous monitoring, and robust backup plans to ensure business continuity and resilience. Tune in for expert insights into mitigating the significant consequences of system failures. Visit https://www.securityweekly.com/swn for all the latest episodes! Show Notes: https://securityweekly.com/swn-399
Listen to ASCO's Journal of Clinical Oncology essay, “Three Days was Enough” by Dr. Teresa Thomas, Associate Professor at the University of Pittsburgh School of Nursing. The essay is followed by an interview with Thomas and host Dr. Lidia Schapira. Having medically adjacent experience, Thomas shares her personal story of helping her family come to terms with hospice care for her father. TRANSCRIPT Narrator: Three Days Was Enough, by Teresa Hagan Thomas, PhD, BA, RN My dad agreed to receive hospice on a technicality. It happened after weeks of trying to get him home oxygen. My brother drove him to the oncologist's office, and I helped him get into the wheelchair. He did not complain, but just asked me to hold his coffee mug, smiling because I snuck him a fresh donut. Three months before, dad was well-maintained on treatment for a neuroendocrine tumor. It was not until two separate, non–cancer-related hospital admissions kept him off treatment that the cancer saw a chance to hijack his body, take over his organs, and lead to a precipitous decline. As we waited for the oncologist, I told dad not to downplay his shortness of breath. But he wanted to look good enough to get chemotherapy the following week, the only way he saw to resolve his lymphedema and keep the cancer at bay. He failed the oxygen saturation test by one point, and having not qualified for home oxygen, we drove home disappointed without further recommendations or support. The sense of defeat was maddening. We were batting down an escalating onslaught of health issues at home only to be turned away from the professional caregivers when we most needed their advocacy. I was enraged that all the work arranging the appointment led to nothing and disappointed for my dad as he sat consumed in his pain and shortness of breath. His oncology team was supportive when his health was stable but did not have the skills or systems to proactively help us manage the dying process. I channeled my disillusionment with the health care system by calling in favors for a palliative care consult, both aware of my privilege but also stopping at nothing to give relief to my dad. A few days later, my dad and mom were willing to accept hospice care for the singular purpose of getting oxygen. I was sitting next to my dad in his home office, amix of posters from his travels abroad and family wedding photos surrounding us. When he asked for my thoughts about hospice, I carefully laid out what I saw as the benefits—namely, he would immediately qualify for home oxygen and get a level of care beyond what his oncologist could offer. But as I tried to give him all the words I knew from my professional life, I just saw the man who raised me staring back at me hoping for a way out of the painful, weak state he was in. He was not giving up on treatment or controlling the cancer. I was not going to change that. I wanted that, too. Now his eyes were sunken, all the fat gone from his face, and his entire body working to breathe. His belly was large, the tumor taking over, and his legs swollen with lymphedema. I felt the boniness of his shoulders and back. There was no coming back from this. I was in disbelief that he was dying so quickly, selfishly wanting him to stay but also knowing he deserved a pain free death. He agreed to enroll in hospice, with the plan that he would unenroll and try to get more treatment. I wanted to be right there with him, treating this as a temporary detour and not the end. I looked him directly in the eyes, searching to see any recognition that he would never get treatment again and that this was it. Not seeing anything, I tried to open the door to discussing death, reminding him how tenaciously he had fought to keep this cancer controlled and acknowledging the need to focus on his quality of life. I desperately wanted to have an open discussion about dying, but his stoic Irish mentality kept us from having that heart-to-heart. Initially, I was disappointed that my attempt had failed, but now I recognize that achieving a good death did not depend on verbalizing that he was dying. He was living and dying, hoping and accepting, trusting and doing his own thing. Our plan was logical and irrational. I remember thinking people in these situations needed to face reality. Here with my father, being so direct would be counterproductive. He very likely recognized what was likely to unfold, and hospice allowed him the unstated permission to let go. I called his oncologist, and together dad and I asked to enroll in hospice. The oncologist responded, “We are so glad you finally made this decision.” By that night, the hospice nurse was sitting at my parent's kitchen table preparing us. Dad was sitting in the front room, finally relaxing in the plush leather lift chair we impulsively bought for him, with the oxygen machine humming at this side. We grilled the hospice nurse with questions. She kept saying how fast patients with cancer seem to go downhill. She told us without telling us. She gave us breadcrumbs, just enough information to get us through each step of the dying process, giving morphine, getting a hospital bed, giving Ativan, and finally seeing him pass. Three days after enrolling in hospice, he died at home withmany of our family at his side. Just like the hospice nurse said he would, he died on his own terms: after he had said goodbye to all his siblings, after the infant he and my mom were fostering was placed with his adoptive parents, and after all five of his children were at home with him. He died with dignity, mentally capable until the last hours, and surrounded by love. His exact terms. I am not sure what conversations were had between my dad, my mom, and his oncology team in the weeks before he died. I do not know if they openly discussed the need for palliative care or hospice. Dad's providers might have, and my parents willfully or naively missed the clues. I can imagine for the oncology team, discussing hospice meant admitting that the treatment plan had not worked as intended and that they could not meet my dad's needs. I know for my parents, discussing hospice would give air to the idea of death and therefore was not only avoided but actively discounted. As a researcher focused on palliative care, these dynamics were not new to me. I recognize how the stigma surrounding hospice and palliative care prevents earlier provision of quality end-of-life care. That knowledge did not prepare me when it was my dad dying. Awakening to the reality of dad dying was incredibly difficult when every hour we were managing his frenzy of health issues. Three days is used as an indicator of poor end-of-life care since people are eligible for hospice when they have a 6-month life expectancy.1 My dad did not openly discuss hospice until days before he died, but the number of days did not matter for my dad. What he was now able to do—because of hospice—during those days mattered more. During his last 3 days, dad meticulously rewrote his will, had it notarized by a hospice social worker, visited with his siblings, and made amends for long-past transgressions, enjoyed his favorite foods—fresh Boston cream donuts and black French press coffee—and spent quality one-on-one time with each of his kids and most of his grandkids. Although death was never directly discussed, neither was the idea of unenrolling in hospice. Hospice was what was allowing him to maximize the mental and physical capacity he had left. Those 3 days took my family from being stressed to our limit trying to manage dad's disintegrating health to feeling like we were being led by competent, caring hospice nurses who picked up our phone calls and responded within minutes. Now a year since he passed, I have a newfound appreciation for the complexity of discussing death with families and an even greater desire to advocate for improved end-of-life care for patients with serious illness. Despite his dramatic decline in health, my dad had a good death thanks to his hospice team. Three days was all it took. Dr. Lidia Schapira: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, Professor of Medicine at Stanford University. Today we're joined by Dr. Teresa Thomas, Associate Professor at the University of Pittsburgh School of Nursing. In this episode, we will be discussing her Art of Oncology article “Three Days Was Enough.” Our guest's disclosures will be linked in the transcript. Teresa, welcome to our podcast and thank you for joining us. Dr. Teresa Thomas: Thank you. It's great to be here. Dr. Lidia Schapira: It's great to have you. So let's talk about your beautiful piece, which is very personal. Thank you so much for writing and sending this and sharing this. In your piece, you say that you waited about a year before you thought about writing. Can you tell us a little bit about why you waited and why perhaps for you it was important to take some time to process the experience and then decide to share it? Dr. Teresa Thomas: Absolutely. Well, I think it would be false to say that I waited a year to write it. I think I was writing it for a year. And like a lot of researchers, I really process things through writing, trying to make sense of the passing of my father, of course, but also what this means for me professionally. It's very ironic that everything that I study in my research, things that we encounter clinically, unfolded right there extremely poignantly with my father. And like anyone, I'm just trying to make sense of it and trying to find lessons learned where we as nurses, healthcare providers, researchers, can push things forward a little bit, which I think is what I was trying to do with the piece because it did raise a lot of questions for me and is making me rethink my research questions and how I conduct myself and what the important areas of our field really are. Dr. Lidia Schapira: So let's talk a little bit and go deeper into that. First, I wanted to talk a little bit about your vulnerability, personal vulnerability. It's your father we're talking about, and you clearly adored this man who is your father. Can you talk a little bit about the emotional aspect of dealing with the family's acceptance finally, or the family's readiness to call hospice in? Dr. Teresa Thomas: Absolutely. I mean, it's all of the emotions. When I think about it, it was this very awkward place of being one of the few medically adjacent people. I'm not a practicing clinician. I am a researcher who has a nurse training. So it was this ‘I know enough and the family's relying on me and I'm going to the appointments.' And being that in between, between the oncology team, my father, my mother, my siblings, people asking questions. And at the same time, I know this story. So it was personal and distant. I knew what was happening, that he was dying. I didn't want to know that he was dying. And it was just a crazy time too. Every day there were a thousand things going on. I didn't put this in the piece, but I was also extremely pregnant at the time, so had hormones going. My mom was getting sick herself with cancer, ironically, right as my father was dying. It was just absolutely insane. And now we're trying to unpack all of that. But to be that person that people are relying on to understand what's going on, to shepherd them, and also not really wanting to know, it was a hard juxtaposition. I knew what should be happening, right? I knew that we should be having these discussions about palliative care. I knew that he was eligible for hospice, I knew he should be on hospice, but I wasn't ready. And professionally, I wear that hat of a nurse and a researcher very reluctantly. When I'm dealing with my health care, and especially someone else's healthcare, I do not disclose, I do not try to interfere. And for Dad, I had to step up and push and interfere a little bit, which is extremely awkward and not comfortable. Dr. Lidia Schapira: Let's talk a little bit about readiness, because readiness means so many things, but it's such an important theme here, and it's often such an important theme when we look at the literature about end of life communication. Can you talk a little bit about how this experience has informed the way you think about readiness, readiness to accept that it is indeed time for that call to hospice? Dr. Teresa Thomas: Absolutely. So I think as a researcher and as a clinician, you want that discussion, you want the documentation, you want all the ducks in a row. You need to understand, do they get it? Is their head in that space where they're making plans? Can you think about what you want your death to look like? We need it said, we need it laid out so that we can check that box. And obviously, there's a lot more than checking boxes when this is done correctly and in a patient centered way. We didn't have time for that to happen, and yet everything still laid out. Now, I write in the piece, my dad was just very stoic and had a history of not talking about emotions. And I don't think it's all too different than his generation. And maybe men in general or there are patients that are just like that. There were never those deep conversations with the oncology team. There basically wasn't that conversation even with me. So beyond that, I mean, beyond just saying we had that conversation, what the piece is trying to say, or what I was trying to say was that it was the things that he did that were more important, he literally rewrote his will in his last days. In his few moments of clarity, he was sitting there. He was a wills and estates attorney. So, I mean, he was fully equipped to do this, but this is what he was doing. He knew that he was dying. He never voiced it. He never made a specific plan. But we had a care team in his oncology team, and absolutely in his hospice team, who just shepherded us and allowed him to do everything that he would have done even if he had had six months in hospice. And that's what was more important. He got what he wanted, and he was allowed to do what he wanted. And that's now how I'm thinking about end of life care and where our field in research and in executing that needs to go. Dr. Lidia Schapira: I think that's incredibly profound. I think one of the lines that I enjoyed the most in reading and rereading your essay is when you just describe what actually happened and how he relaxed into the chair. He relaxed when he had oxygen. I mean, it wasn't so much what he said, but what you saw there was even the physical signs of somebody who says, “Well, you know, something else is happening here.” There was a transition that you actually appreciated there and captured. Am I right? And did I read that right? Dr. Teresa Thomas: Absolutely. That was the turning point. I mean, we are a big family. We never make impulse purchases. But my sister and I, we just drove out. We didn't care about the cost. I think my mom gave us her credit card. She never gives us a credit card. And we just said, “We don't care. This is our dad. We're buying this.” And to see him after this, just extremely precipitous decline where every breath in and out and that searching for air and all of those signs, even to take away a little bit of that, absolutely felt so good. And he wasn't totally pain free, but he had oxygen. I mean, the most basic thing you need. So, yes, that was a very good feeling. Dr. Lidia Schapira: So the labor of breathing can be overwhelming and in a way distressing. Whether we call that painful or not is maybe just a matter of the language that we use. There's another theme that emerged in your writing, and again, I wanted to hear your reaction to this, and that is failure. You use the term in terms of, in so many different ways, perhaps the failure of the oncology team to develop or deliver or propose a treatment that was really good. They were done. So they- in some ways, there was a sense of failure. It was a bit of a failure of capturing the right moment to make the hospice referral. It wasn't quite what the books say we should be doing. There's a lot of that in the essay. Can you talk a little bit about how you understand failure and how that concept may in some way interfere with our ability to act or appreciate things? Dr. Teresa Thomas: There were no specific failures as more of a secondary caregiver at the end who stepped in to assist my mom. There were likely things going on that were under-recognized, unappreciated, or because nothing was said directly that there could have been soft leeways into. “Let's talk about hospice.” That, I think, my parents did not want to hear, and that door was closed. That's where additional layers of support in how do we talk about this as a family? How do we introduce, well, hospice isn't end of life care necessarily, but there are additional supports that hospice allows that your typical oncology practice can't provide. I remember one conversation when my mom called me up and she was telling me that she had just met with Dad's team, and she was saying, the oncologist said, this is the last treatment, that after this, there's nothing left. She was going on and on, and I wanted to basically rip the band aid off for her. And I said, “Mom, they're telling you that it's time for hospice.” “No, absolutely not, Teresa. Hospice was not brought up. Don't bring up that word to your father. All they were saying was, this was the last treatment.” Now we can talk about that with my mom and say, “Do you see what they may have been laying the groundwork for?” And she says, “Yes, now I understand. But at that time and place, that soft entry, that door was not being opened by them.” And I don't think that's untypical. I think that we did the best that we could with the situation that Dad had. Dr. Lidia Schapira: So, Teresa, I'm struck by the incredibly generous and wise framing that you use to talk about this. You could have said, “Oh, my goodness. It was only three days,” and instead you chose to say, “Three days were enough.” So I wonder how you did this, how you actually looked at it from that perspective, because so much of what happens to us is defined by the lens through which we see it and the words we use to construct the narrative. So tell me how you got to, “Oh, my God. They weren't ready, and there was so much failure,” to, “Hey, three days was enough.” Dr. Teresa Thomas: The three days were important for me because one year ahead of my dad getting sick, I was writing a paper with one of my mentors, Yael Schenker, and one of the wonderful med students that we work with and we used it as an indicator of poor quality end of life care. Did the patient enroll in hospice within the past three days? And we had these wonderful discussions with Yael and Bob Arnold and Doug White and everyone here at the University of Pittsburgh involved in palliative care about what does that mean? And is this just a random quality indicator with no real world value? And I respect all of their opinions because they do see this clinically, whereas as a researcher, “Oh, this is easy for me to analyze and I have a citation that says this is a quality indicator, so let's use it.” And I thought, “Oh, isn't the world ironic? This is exactly what happened with Dad.” And it was. I mean, maybe part of it is to our Catholic faith, and threes are very important so I think that was a little for my family. But there was nothing else to do. We opened up, we had conversations, we had heart to hearts. We found when dad was mentally with it, we sat down with him. I gave him his coffee. He always had a doughnut, he was pre-diabetic. Who cares? There was ice cream, there were donuts, there was coffee. All of a sudden we went from, “Don't give Dad any pain meds,” to, “Where's the morphine? Give him some more.” And we timed it so that each one of us kids and his wife and his siblings, we got to say the things that, man, if it was any other illness or any other setting where we weren't there, we would have lived our entire lives regretting not having had that. Would I have wanted him to be around when the son that was protruding from my belly was born a couple months later? Absolutely. Would I have wanted more trips, more meals? Yes, yes, and yes. It wasn't going to happen. And it didn't. That's selfish. I mean, that was a selfish desire. He lived a wonderful life. He closed out everything in those three days. He said his goodbyes. He was ready to go. And our family is a strong family. We carried my mom through it and we carried each other through it. And for him, he deserved to go without the pain, the loss of control, the loss of being himself. When we moved him into the hospital bed, that was it. We had to help him go to the bathroom within the last 12 hours of life. And I thought, this is not my dad he's going to check out because this is just not how he's going to live his life. Is that worth it? No, that wasn't worth it. And that was him. And that's what the hospice nurse told us. Everyone checks out when they're ready. That's Dad. Dr. Lidia Schapira: I can't resist the urge to ask you this question of how you're taking this life lesson, this really important story which you framed and articulated so beautifully here for us into your work. Dr. Teresa Thomas: So my work has always been in patient centered care, as nebulous as a concept as that is, and promoting patient self-advocacy. How do patients say what they need? Which is the great irony, right? That my work is corresponding exactly with what I experience and see. And I think that's probably why I love this research question. And now I see that not just the cancer experience, but framing that end of life care. And what does hospice mean? I think we had the best hospice team in the world. I don't see how any other hospice team could deliver as great care. And then, of course, I'm looking into, is all hospice like this? What are the hospice outcomes? And I realize, unsurprisingly, that we absolutely are spoiled, and this is not what most people experience. So I'm lucky that I'm in a place here at the University of Pittsburgh and with researchers that we have a palliative research center. This is easy for me to pivot into this place and to think about how do we create teams of clinicians, policies at a local level, at a state and a federal level that allow people access to really good clinicians at the end of life - clinicians that understand absolutely there's a medical management part just as much there's a human part that's happening here with the patient and with the family. What was it that our hospice team did? It's the easy things. They gave us one sheet of paper, one phone number, “Call this number. We will pick up. You do not need to give us your medical record number. You don't have to tell us a history.” We called that number any time, and someone answered our questions. So basic, patient centered care, so basic. How do we do that? How do we do that at a systems level? How do we prepare patients to work with their clinicians when that's not there? These sort of high touch, but very difficult to innovate in clunky segregated systems. It's given me direction, and it lets me feel like I'm helping my family in retrospect, too. Dr. Lidia Schapira: In some ways, it keeps you connected to your dad. Dr. Teresa Thomas: Absolutely. Dr. Lidia Schapira: Yeah. Well, thank you so much. It was a really beautiful, beautiful piece. Art of Oncology is about telling a story. But stories can inspire, stories can lead people to find their own path towards advocacy or research so thank you so much. To wrap this up, do you have a final message for our readers and listeners? Dr. Teresa Thomas: Everyone has their experience with end of life and with palliative care, maybe, but definitely cancer care, and I just hope that it strikes a chord and makes people think about how we can make sure that families and patients receive the best care at end of life. Dr. Lidia Schapira: Well, thank you so much, Theresa, for your story and for what you do. And until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO shows at asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr. Teresa Thomas is an Associate Professor at the University of Pittsburgh School of Nursing.
Check out this interview from the SWN Vault, hand picked by main host Doug White! This segment was originally published on July 20, 2017. Doug talks about how to count from zero to one! Show Notes: https://securityweekly.com/vault-swn-18
Check out this interview from the SWN Vault, hand picked by main host Doug White! This segment was originally published on July 20, 2017. Doug talks about how to count from zero to one! Show Notes: https://securityweekly.com/vault-swn-18
Check out this interview from the SWN Vault, hand picked by main host Doug White! This segment was originally published on July 20, 2017. Doug talks about how to count from zero to one! Show Notes: https://securityweekly.com/vault-swn-18
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on March 6, 2017. Have you ever wondered what phishing is? Do you know what spear phishing attacks are? Doug and Russ explain how to protect yourself from phishing scams in the inaugural episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-17
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on March 6, 2017. Have you ever wondered what phishing is? Do you know what spear phishing attacks are? Doug and Russ explain how to protect yourself from phishing scams in the inaugural episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-17
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on March 6, 2017. Have you ever wondered what phishing is? Do you know what spear phishing attacks are? Doug and Russ explain how to protect yourself from phishing scams in the inaugural episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-17
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on June 19, 2018. This week, Doug and Russ interview Matthew Silva, President and Founder of the Cybersecurity and Intel Club at Roger Williams University! They talk about majoring in Cybersecurity vs. Computer Science, gaining experience vs. book learning, and more on this episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-16
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on June 19, 2018. This week, Doug and Russ interview Matthew Silva, President and Founder of the Cybersecurity and Intel Club at Roger Williams University! They talk about majoring in Cybersecurity vs. Computer Science, gaining experience vs. book learning, and more on this episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-16
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on June 19, 2018. This week, Doug and Russ interview Matthew Silva, President and Founder of the Cybersecurity and Intel Club at Roger Williams University! They talk about majoring in Cybersecurity vs. Computer Science, gaining experience vs. book learning, and more on this episode of Secure Digital Life! Show Notes: https://securityweekly.com/vault-swn-16
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on September 25, 2018. This week, Russ takes the reigns in the absence of Dr. Doug to talk about Networking 101! We are going to go back to school to examine how networking and the internet actually work. Russ looks at MAC addresses, IP Addressing (Private/Public), DHCP, routing, and DNS. Show Notes: https://securityweekly.com/vault-swn-15
Check out this interview from the SWN Vault, hand picked by main host Doug White! This Secure Digital Life segment was originally published on September 25, 2018. This week, Russ takes the reigns in the absence of Dr. Doug to talk about Networking 101! We are going to go back to school to examine how networking and the internet actually work. Russ looks at MAC addresses, IP Addressing (Private/Public), DHCP, routing, and DNS. Show Notes: https://securityweekly.com/vault-swn-15
In this compelling episode of The Crackin' Backs Podcast, we welcome Douglas White, a former MLB pitching coach renowned for his expertise and innovative approaches in the high-pressure world of Major League Baseball. Join us as Doug shares his strategies for maintaining mental resilience and focus, both for himself and his players, amidst the fast pace and intense demands of professional sports.Doug White, who shepherded the pitching development program for the Houston Astros, explains why this initiative was crucial at the MLB level and the significant outcomes it achieved. Parents of young baseball enthusiasts will find invaluable advice as Doug discusses the alarming trend of excessive throwing injuries in youth baseball due to overuse. He provides expert lessons on how to prevent these injuries and emphasizes what the focus should be for young players until they reach physical maturity.In this episode, Doug also delves into the balance between data-driven decisions and traditional coaching instincts in developing player strategies. He shares his key principles for maintaining physical and mental health under the rigors of a demanding season, offering insights that are critical for both athletes and everyday individuals.Additionally, Doug talks about his exciting new project—a holistic player performance app. He explains the need it addresses and how it aims to revolutionize player development by integrating physical, mental, and emotional health.Key Topics Discussed:Strategies for mental resilience and focus in MLBInsights from the Houston Astros' pitching development programPreventing throwing injuries in youth baseballThe balance between data-driven decisions and traditional coachingPrinciples for maintaining health and longevityIntroduction to Doug White's holistic player performance app Listen now on The Crackin' Backs Podcast and transform your approach to baseball coaching and player development! You can also view on our YouTube Channel!We are two sports chiropractors, seeking knowledge from some of the best resources in the world of health. From our perspective, health is more than just “Crackin Backs” but a deep dive into physical, mental, and nutritional well-being philosophies. Join us as we talk to some of the greatest minds and discover some of the most incredible gems you can use to maintain a higher level of health. Crackin Backs Podcast
Check out this episode from the Secure Digital Life Vault, hand picked by main host Doug White! This segment was originally published on June 14, 2017. Doug and Russ talk about different types of backups, how they work and out-of-band strategies. Show Notes: https://securityweekly.com/vault-swn-14
Check out this episode from the Secure Digital Life Vault, hand picked by main host Doug White! This segment was originally published on June 14, 2017. Doug and Russ talk about different types of backups, how they work and out-of-band strategies. Show Notes: https://securityweekly.com/vault-swn-14
Check out this episode from the Secure Digital Life Vault, hand picked by main host Doug White! This segment was originally published on June 8, 2017. Doug and Russ swim the warm waters of academia, college degrees, types of degrees, and whether or not you need one. Show Notes: https://securityweekly.com/vault-swn-13
Check out this episode from the Secure Digital Life Vault, hand picked by main host Doug White! This segment was originally published on June 8, 2017. Doug and Russ swim the warm waters of academia, college degrees, types of degrees, and whether or not you need one. Show Notes: https://securityweekly.com/vault-swn-13
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